background: central abdominal obesity is still considered to be important independent risk factor for
CHD in addition to other risk factors.
Objective: To determine the relationship between CHD and central abdominal obesity measured by waist
circumference (w.c) and coexisting risk factor including measurement of serum cholesterol , sugar , uric
acid .
Design: Prospective study.
Methods: One hundred patients participated in this study from coronary care unite (CCU) admitted in AL
Hussin hospital in Karbala governorate during period 1-12-2004 to 1-6-2005 .All patients were newly
diagnosed as having CHD by selected criteria in relation to central abdominal obesity , body mass index
(BMI) , age , sex , fat consumption , ECG , smoking , physical activity , alcohol , fruit eating , Diabetes
mellitus , hypertension .
Result: Mean age (56 +_ 12) year males 76% ,females 24%, consumed saturated fat 90 %, cigarette
smokers 63%, hypertension 20%, D.M 18%, alcoholics 4% , 59% got mixed anxiety and depression
disorder, consumed fruit 23%, physical exercise 11%.
Conclusion: There is direct relation between CHD and central abdominal obesity in addition to other
coexisting risk factors The life style of Karbala people (stress , smoking , physical activity , diet ) were
considered as having important impact on increasing prevalence of CHD .
The study showed the impact of socio-economic, psychological, political, education, factors in the
prevalence of coronary heart diseases (ACHD) in Iraq. The research has discovered the great defects in the
health education programs directed to Iraqi population about (CHD) and the importance of changing life
style among Karbala people as they are a picture of Iraqi population. The study is considered as important
message to the health authorities in the ministry of health to change style of health education programs in
Iraq for limiting the prevalence of risk factors leading to CHD. |